Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679755953 Individual Practitioner Female Practitioner

Cheryl Elizabeth Wall , LMT

Massage Therapist • Saint Augustine, FL

Professional Overview & Biography Verified Profile Summary

Cheryl Wall, LMT is a registered healthcare professional specializing in Massage Therapist in Saint Augustine, FL. Practice services are available at 4211 U.S. HIGHWAY 1 SOUTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4211 U.s. Highway 1 South

Saint Augustine, FL 320867096

Telephone 9047940854

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Saint Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Saint Augustine, FL (7145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License FL MA35162

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bluecross Blueshield
C1650 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Anne Rhoden , LMT

Massage Therapist

NPI 1689859902

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 31, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2010

Registered at 4211 U.S. HIGHWAY 1 SOUTH, SAINT AUGUSTINE, FL 320867096 (Tel: 9047940854)

📍
Updated Business Mailing Address March 31, 2010

Registered at 4211 U.S. HIGHWAY 1 SOUTH, SAINT AUGUSTINE, FL 320867096 (Tel: 9047940854)

👤
Provider Name / Credentials Updated March 31, 2010

Recorded as CHERYL WALL, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2010

Massage Therapist (License #MA35162 in FL)

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Initial NPI Registration & Enumeration November 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679755953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2007
Last Update: March 31, 2010
Sole Proprietor: Yes

Mailing Address

4211 U.s. Highway 1 South

Saint Augustine, FL 320867096

Phone: 9047940854

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.